A nurse is assisting in the care of a client.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Pulmonary embolism: A pulmonary embolism (PE) can result from a dislodged deep vein thrombosis (DVT), especially in the lower extremities.
Possible deep vein thrombosis: The client's left calf is red, swollen, and larger than the right, which are classic signs of DVT, a risk factor for PE.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Hypertension: Immobility more commonly leads to orthostatic hypotension, not hypertension.
B. Diarrhea: Immobility often causes constipation due to reduced peristalsis, not diarrhea.
C. Pressure injury: Prolonged pressure on bony prominences in immobile clients can cause skin breakdown and ulcers.
D. Contractures of extremities: Lack of movement leads to muscle shortening and joint contractures.
E. Crackles in the lungs: Crackles may indicate atelectasis or pneumonia, both of which are risks due to decreased lung expansion and secretion retention in immobile clients.
Correct Answer is C
Explanation
A. "I'll carry objects close to my body.": Carrying objects close to the center of gravity reduces strain on the back.
B. “I'll do exercises that strengthen my abdominal muscles.": Strong core muscles support the spine and prevent injury.
C. "When standing for a long period of time. I should keep my feet flat on the floor.": This statement indicates a need for further instruction. One foot should be slightly elevated on a footrest or step to reduce lumbar strain.
D. "I'll wear low-heeled shoes from now on.": Low-heeled shoes provide better spinal alignment and reduce back stress.
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